ROBERT NELSON MD NPI 1356336382

NPI Information

  • NPI: 1356336382
  • Provider Name: ROBERT NELSON, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • Address: 350 W COUNTRY CLUB RD
    SUITE #205
    ROSWELL, NM
    ZIP 88201
  • Phone: (575) 622-7593

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NPI Details

Robert Nelson, MD is an urology in Roswell, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Robert Nelson, MD NPI is 1356336382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 W COUNTRY CLUB RD
SUITE #205
ROSWELL, NM
ZIP 88201-205
Phone: (575) 622-7593
Fax: (575) 622-5538

The enumeration date for this NPI number is 9/15/2005 and was last updated on 3/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMD2013-0026NEW MEXICONo
2208800000XUrologyMD00029981WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18944748OTHERWASHINGTONCV
2G8866844MEDICARE PINWASHINGTON
30222357OTHERWASHINGTONL&I
4A44688MEDICARE UPIN
58141012MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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